Individual provider Active NPI

Maya Elizabeth Nahra, R.D.

  • Registered Dietitian
  • Gilbert, AZ
National Provider Identifier
1669798724
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
963735 Issued in AZ
Practice address
428 S Gilbert Rd Ste 106-2
Gilbert, AZ 85296-2263
Phone
(602) 218-5278
Fax
(844) 218-4691
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 963735 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd Ste 106-2
Gilbert, AZ 85296-2263

Mailing address

70 S Val Vista Dr Ste A3-527
Gilbert, AZ 85296-0944
Phone (216) 533-4023

Other practice location 1

323 S Gilbert Rd Ste 105
Gilbert, AZ 85296-1608
Phone (216) 533-4023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224001219 AZ Practitioner - Registered Dietitian Or Nutrition Professional 3476947052 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
963735AZMDRegistered Dietitian

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1669798724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 S VAL VISTA DR STE A3-527",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852960944",
            "telephone_number": "216-533-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 106-2",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962263",
            "telephone_number": "602-218-5278",
            "fax_number": "844-218-4691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 S Gilbert Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852961608",
            "country_code": "US",
            "telephone_number": "216-533-4023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAHRA",
        "first_name": "MAYA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "963735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.